58 percent of incidents involved insiders. Healthcare is the only industry in which internal actors are the biggest threat to an organization. Often they are driven by financial gain, such as tax fraud or opening lines of credit with stolen information (48 percent); fun or curiosity in looking up the personal records of celebrities or family members (31 percent); or simply convenience (10 percent).

27 percent of incidents were related to PHI printed on paper. Medical device hacking may be in the news, but it seems the real criminal activity is found by following the paper trail. Whether prescription information sent from clinics to pharmacies, billing statements issued by mail, discharge papers physically handed to patients, or filed copies of ID and insurance cards, printed documents are more prevalent in the healthcare sector than any other. The very nature of how PHI paperwork is handled and transferred by medical staff has led to preventable weaknesses – sensitive data being misdelivered (20 percent), thrown away without shredding (15 percent), and even lost (8 percent).

21 percent of incidents involved lost and stolen laptops containing unencrypted PHI. More employee education is required to ensure that basic security measures are put in place.

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